Evidence map›Paper›PMID 42931865›Full record

ArticleSports medicine - open2026

Implementation and Training-Related Outcomes of High-Intensity Interval Training and Cognitive-Motor Training in Professional League of Legends and Valorant Players: A First Exploratory Ecological Study Across In-Game, Cognitive, and Physiological Domains.

Clément Thillier, Nicolas Besombes, Nounagnon Frutueux Agbangla, Damien Vitiello

Abstract read
In one paragraph

Article in Sports medicine - open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Clément ThillierUniversité Paris Cité, Institut des Sciences du Sport-Santé de Paris (I3SP), URP 3625, 75015, Paris, France. clement.thillier@gmail.com.ORCID http://orcid.org/0009-0009-1199-5561
Nicolas BesombesUniversité Paris Cité, Institut des Sciences du Sport-Santé de Paris (I3SP), URP 3625, 75015, Paris, France.
Nounagnon Frutueux AgbanglaUniv. Artois, Univ. Lille, Univ. Littoral Côte d'Opale, ULR 7369 - URePSSS - Unité de Recherche Pluridisciplinaire Sport Santé Société, 62800, Liévin, France.
Damien VitielloUniversité Paris Cité, Institut des Sciences du Sport-Santé de Paris (I3SP), URP 3625, 75015, Paris, France. dam.vitiello@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEsports performance relies on in-game, cognitive, and physiological capacities. Its growing professionalization has led to increasing interest in structured out-of-game training interventions as part of performance-support strategies for elite players. However, the feasibility and effects of such interventions in world-class professional players remain unexplored. The present exploratory ecological study examined the implementation of high-intensity interval training (HIIT) and cognitive-motor training (CMT), together with training-related changes in in-game performance, executive functions, and cardiovascular outcomes, under competitive-season constraints in professional League of Legends (LOL; n = 5) and Valorant (VLR; n = 5) players. Data were collected at the team training facility in Berlin, Germany, between May and July 2024.

resultsBoth interventions could be implemented during the competitive season, with 100.00% retention and 98.75% compliance during the first training phase. However, their delivery required substantial adaptations to competitive schedules, players' day-to-day states, and recovery needs. Moreover, competitive and logistical constraints reduced crossover retention and compliance to 60.00% and 81.25%, respectively. HIIT was perceived as more demanding and CMT as more enjoyable. At the group level, mean reaction time (RT) on the repeatedly administered Dots Task decreased by 10.42% from baseline to the first training phase in the full sample (pFDR = .008; d = 1.37), reflecting an improvement in task-based executive processing speed, although the contribution of the interventions could not be isolated. No consistent group-level improvements were observed in in-game performance or cardiovascular outcomes. Single-case analyses revealed heterogeneous response patterns. In-game changes emerged mainly in specific game- and role-relevant metrics, including performance scores, kill participation, and deaths, with patterns varying across game titles, players, and training phases. RT reductions appeared more consistent across task conditions during HIIT phases and more condition-specific during CMT phases. Cardiovascular responses showed favorable but heterogeneous patterns in resting heart rate (RHR) and heart rate variability (HRV) indices. Overall, responses appeared strongly context-dependent, varying according to game title, player role, individual profile, and daily player state.

conclusionsStructured HIIT and CMT can be implemented in world-class professional LOL and VLR players during an active competitive season and may support performance-related outcomes. However, training-related outcomes appear to be heterogeneous and context-dependent and must be contextualized within the complex environment of professional esports. These findings provide preliminary ecological evidence informing structured, individualized, and context-sensitive training approaches in professional esports.

Indexed as

Elite esportsExecutive functionsFirst-person shooterHeart rate variabilityLongitudinal field studyMultiplayer online battle arenaSingle-case experimental design

Identifiers

PMID42931865
PMCPMC13710506

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.